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L.F. Dell'Osso 1-3 , Z.I. Wang 1,3 , and S. Prakish 1

Dynamic Improvements in Visual Function after the Tenotomy and Reattachment Procedure: Model Predictions and Patient Data. —“Will T&R Prevent Missing the Bird”. L.F. Dell'Osso 1-3 , Z.I. Wang 1,3 , and S. Prakish 1

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L.F. Dell'Osso 1-3 , Z.I. Wang 1,3 , and S. Prakish 1

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  1. Dynamic Improvements in Visual Functionafter the Tenotomy and Reattachment Procedure:Model Predictions and Patient Data —“Will T&R Prevent Missing the Bird” L.F. Dell'Osso1-3, Z.I. Wang1,3, and S. Prakish1 The Daroff-Dell’Osso Ocular Motility Laboratory1– Louis Stokes Cleveland Department of Veterans Affairs Medical Center and CASE Medical School, Departments of Neurology2 and Biomedical Engineering3, Case Western Reserve University, Cleveland OH; USA

  2. Human Data Bad Target Timing = Poor Target Acquisition Half Speed Lt > 2 s

  3. Human Data Good Target Timing = Fast Target Acquisition Half Speed Lt ~= 0.8 s Also: Good Pursuit Gain!

  4. Human Data Same Patient, Different Pursuit Gains vs. Direction Half Speed Lt > 2 s Bad Pursuit Gain = Poor Target Acquisition

  5. Human Data Eye Switching Contributes to Longer Lt Half Speed Lt ~= 1 s INS + Strabismus = Poorer Target Acquisition

  6. Model Simulation fs Steady-State Error T&R Broadens and Improves NAFX and Lowers Target Acquisition Time Half Speed Lt ~= 1 s Bad Target Timing Still = Poorer Target Acquisition

  7. Fast Target Acquisition, Good Pursuit, VOR, & Eye-Hand Coordination Copper Water Trial 2000 Copper Hunting 2000

  8. T&R means seeing MORE, BETTER, and FASTER, but... Seeing Faster Improves Visual Function and is Necessary for Most Activities in a Full Life I may still miss the bird!

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